US11109769B2 - Blood pressure measuring apparatus and physical feature information calculating method - Google Patents

Blood pressure measuring apparatus and physical feature information calculating method Download PDF

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US11109769B2
US11109769B2 US15/912,310 US201815912310A US11109769B2 US 11109769 B2 US11109769 B2 US 11109769B2 US 201815912310 A US201815912310 A US 201815912310A US 11109769 B2 US11109769 B2 US 11109769B2
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posture
person
measured
wrist
information
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US20180192897A1 (en
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Kentaro Mori
Shingo Yamashita
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Omron Healthcare Co Ltd
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Omron Healthcare Co Ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/02108—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • A61B5/02116—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics of pulse wave amplitude
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/02108—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116—Determining posture transitions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/681—Wristwatch-type devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0242—Operational features adapted to measure environmental factors, e.g. temperature, pollution
    • A61B2560/0247—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1071—Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring angles, e.g. using goniometers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1072—Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring distances on the body, e.g. measuring length, height or thickness
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813—Specially adapted to be attached to a specific body part
    • A61B5/6824—Arm or wrist

Definitions

  • the present invention relates to a blood pressure measuring apparatus and a physical feature information calculating method.
  • a blood pressure measuring apparatus can obtain an accurate blood pressure value when a measurer of the blood pressure measuring apparatus is placed at the height of a heart to make measurement.
  • a wrist on which the measurer of the wrist blood pressure measuring apparatus is worn is a part which can move freely. For this reason, it is difficult to accurately adjust the wrist to the same height as the height of the heart. Therefore, there is a case that the blood pressure value cannot be measured accurately.
  • WO2002/039893 discloses a blood pressure measuring apparatus which detects a difference in height between a heart and a wrist based on body part feature information of a person to be measured such as a forearm length and an upper arm length inputted by the person to be measured manually, and information indicating a state of the arm of the person to be measured such as an angle of the forearm or an angle of the upper arm detected by an acceleration sensor etc., and performs a process of correcting a blood pressure value in accordance with the detected difference.
  • the stature of the person to be measured may be manually inputted so that the forearm length or the upper arm length can be calculated from the inputted stature.
  • An object of the invention is to provide a blood pressure measuring apparatus and a physical feature information calculating method, in which physical feature information of a person to be measured necessary for calculating a difference in height between a measured part and a heart can be obtained accurately by simple work.
  • a blood pressure measuring apparatus which is adapted to be worn on a wrist of a person to be measured to measure a blood pressure value of the person to be measured, the blood pressure measuring apparatus comprising: a triaxial acceleration sensor; an information output section which is configured to output information for guiding an arm of the person to be measured on which the blood pressure measuring apparatus is worn, to a pair of a first posture and a second posture between which a position of the wrist is different; a posture determiner which is configured to determine that the arm has been in each of the pair of the postures, based on an output signal of the triaxial acceleration sensor after the output of the information; and a physical feature information calculator which is configured to calculate physical feature information of the person to be measured based on moving acceleration information detected by the triaxial acceleration sensor in a period between when the arm is in one of the pair of the postures and when the arm is in the other of the pair of the postures.
  • a physical feature information calculating method for calculating physical feature information of a person, the physical feature information calculating method comprising: outputting information for guiding an arm of the person to a pair of a first posture and a second posture between which a position of a wrist of the person is different; determining that the arm has been in each of the pair of the postures based on an output signal of a triaxial acceleration sensor after the output of the information, the triaxial acceleration sensor adapted to be worn on the wrist of the person; and calculating the physical feature information of the person based on moving acceleration information detected by the triaxial acceleration sensor in a period between when the arm is in one of the pair of the postures and when the arm is in the other of the pair of the postures.
  • FIG. 1 is a block diagram showing the configuration of a blood pressure measuring apparatus 1 which is an embodiment of the invention.
  • FIG. 2 is a functional block diagram of a controller 13 in FIG. 1 .
  • FIG. 3 is a view for explaining a forearm length calculating process to be performed by a physical feature information calculator 13 a in FIG. 2 .
  • FIG. 4 is a view for explaining an upper arm length calculating process to be performed by the physical feature information calculator 13 a in FIG. 2 .
  • FIG. 5 is a flow chart for explaining moves of the blood pressure measuring apparatus 1 in FIG. 1 .
  • FIG. 6 is a view for explaining a first modification of the forearm length calculating process to be performed by the physical feature information calculator 13 a in FIG. 2 .
  • FIGS. 7A, 7B and 7C are views for explaining a calculating process of a chest width of a person to be measured which is performed by the physical feature information calculator 13 a in FIG. 2 .
  • FIG. 1 is a block diagram showing the configuration of a blood pressure measuring apparatus 1 which is an embodiment of the invention.
  • the blood pressure measuring apparatus 1 is a portable type which is used to be worn on a wrist of a person to be measured regarded as a living body.
  • the blood pressure measuring apparatus 1 includes a pulse wave detector 10 , an acceleration sensor 11 , an angular velocity sensor 12 , a controller 13 which generally controls the blood pressure measuring apparatus 1 as a whole, a recording medium such as a flash memory, an ROM (Read Only Memory) or a memory card, and a display 15 which is constituted by a liquid crystal display etc.
  • the pulse wave detector 10 detects a pulse wave in a noninvasive manner from a wrist of a person to be measured.
  • the pulse wave detector 10 is used for detecting a pressure pulse wave as the pulse wave, for example, by a tonometry method.
  • the pulse wave detector 10 may detect a volume pulse wave as the pulse wave.
  • the pulse wave detector 10 may detect a pulse wave by reflected light obtained from an artery irradiated with light.
  • the acceleration sensor 11 detects a move of the wrist of the person to be measured as acceleration information.
  • a triaxial acceleration sensor for detecting triaxial acceleration in X-, Y- and Z-axis directions is used as the acceleration sensor 11 .
  • the acceleration sensor 11 is mounted in the apparatus so that the Z-axis direction is parallel with an extension direction of an arm (a direction connecting an elbow and the wrist to each other) when the blood pressure measuring apparatus 1 is worn on the wrist.
  • the angular velocity sensor 12 detects a posture (a roll angle and a pitch angle) of the wrist of the person to be measured as angular velocity information.
  • FIG. 2 is a functional block diagram of the controller 13 in FIG. 1 .
  • the controller 13 is mainly constituted by a processor and a memory such as an RAM (Random Access Memory) or an ROM.
  • the processor executes a program stored in the ROM, the controller 13 functions as a physical feature information calculator 13 a , a wrist-heart height difference calculator 13 b , and a blood pressure calculator 13 c.
  • the physical feature information calculator 13 a calculates a forearm length (first distance) and an upper arm length (third distance) of the person to be measured based on the acceleration information detected by the acceleration sensor 11 .
  • the forearm length means a distance between the elbow and the wrist of the person to be measured.
  • the upper arm length means a distance between a shoulder and the elbow of the person to be measured.
  • the wrist-heart height difference calculator 13 b calculates a difference in height between the wrist and the heart of the person to be measured by a known method exemplified in WO2002/039893 based on the forearm length and the upper arm length of the person to be measured calculated by the physical feature information calculator 13 a and an angle of the wrist based on the angular velocity information detected by the angular velocity sensor 12 .
  • the blood pressure calculator 13 c calculates a blood pressure value per beat based on the pulse wave detected by the pulse wave detector 10 .
  • the blood pressure value includes systolic blood pressure SBP, diastolic blood pressure DBP, and mean blood pressure MBP etc.
  • the blood pressure calculator 13 c corrects the blood pressure value calculated based on the pulse wave, in accordance with the difference in height between the wrist and the heart calculated by the wrist-heart height difference calculator 13 b , and records the corrected blood pressure value as a final blood pressure value into the recording medium 14 .
  • FIG. 3 is a view for explaining the forearm length calculating process to be performed by the physical feature information calculator 13 a in FIG. 2 .
  • a person to be measured 20 is illustrated in FIG. 3 .
  • the reference numeral 21 designates an upper arm of a left arm of the person to be measured;
  • the reference numeral 22 designates an elbow of the left arm of the person to be measured;
  • the reference numeral 23 designates a forearm of the left arm of the person to be measured;
  • the reference numeral 24 designates a left hand of the person to be measured.
  • the blood pressure measuring apparatus 1 in FIG. 1 is worn on a left wrist of the person to be measured.
  • the first move is a move in which the person to be measured whose arm has been already put down raises the wrist to a higher position than the elbow 22 with the elbow 22 as a rotation center without changing the position of the elbow 22 .
  • the arm of the person to be measured 20 shifts from a first posture to a second posture.
  • a shoulder, the elbow and the wrist of the person to be measured 20 are arranged in a gravity direction.
  • the shoulder and the elbow 22 of the person to be measured 20 are arranged in the gravity direction and an angle ⁇ 1 between a direction connecting the elbow 22 and the wrist of the person to be measured to each other (a direction indicated by an arrow of an alternate long and short dash line in FIG. 3 ) and the gravity direction is larger than 90°.
  • the first move may be a move for changing the posture from the second posture to the first posture.
  • the forearm 23 and the hand 24 are designated by a broken line when the arm of the person to be measured is in the state of the second posture.
  • Z-axis direction acceleration information detected by the acceleration sensor 11 in the state of the first posture is regarded as first acceleration information Gd.
  • Z-axis direction acceleration information detected by the acceleration sensor 11 in the state of the second posture is regarded as second acceleration information Gu 1 .
  • the physical feature information calculator 13 a performs second-order integration in which triaxial acceleration information of a world coordinate system detected by the acceleration sensor 11 in a period in which the first move is performed (in a process of movement from the state of the first posture to the state of the second posture) is integrated twice with respect to a time corresponding to a length of the period.
  • the physical feature information calculator 13 a calculates first displacement information ⁇ H 1 [cm], which is a displacement amount of a height of the wrist of the person to be measured 20 in the period.
  • the physical feature information calculator 13 a calculates the forearm length of the person to be measured 20 based on the first displacement information ⁇ H 1 [cm], the first acceleration information Gd, and the second acceleration information Gu 1 .
  • the physical feature information calculator 13 a calculates the forearm length of the person to be measured 20 by arithmetic processing of the following expression (1) based on the first displacement information ⁇ H 1 [cm], and a first ratio of an absolute value of the first acceleration information Gd to the sum of the absolute value of the first acceleration information Gd and an absolute value of the second acceleration information Gu 1 .
  • Forearm Length ⁇ H 1 ⁇
  • the forearm length corresponds to a displacement amount of the wrist in the gravity direction until the angle ⁇ 1 becomes 90° (the positions of the elbow 22 and the wrist in the gravity direction agree with each other) after the wrist is raised from the first posture.
  • the person to be measured is requested to perform the move to raise the arm from the first posture until the angle ⁇ 1 becomes 90° accurately.
  • the triaxial acceleration information outputted from the acceleration sensor 11 during the period of the move is second-order integrated with respect to the time, the forearm length can be obtained.
  • the aforementioned first move in which the person to be measured may stop the arm at any time point when the angle ⁇ 1 is an arbitrary value larger than 90° imposes no burden on the person to be measured. Based on such a reason, the person to be measured is requested to perform the first move to change the posture from the first posture to the second posture in the embodiment.
  • the first displacement information ⁇ H 1 obtained when the first move is performed includes a first displacement component in a period in which the angle ⁇ 1 is changed from 0° to 90°, and a second displacement component in a period in which the angle ⁇ 1 is larger than 90°.
  • a ratio between the first displacement component and the second displacement component is equal to a ratio between the absolute value of the first acceleration information Gd and the absolute value of the second acceleration information Gu 1 . Accordingly, the forearm length can be calculated in accordance with the aforementioned expression (1).
  • FIG. 4 is a view for explaining the upper arm length calculating process to be performed by the physical feature information calculator 13 a in FIG. 2 .
  • FIG. 4 is a front view of the person to be measured 20 .
  • the left upper arm 21 , the left elbow 22 , the left forearm 23 and the left hand 24 of the person to be measured 20 are illustrated in FIG. 4 .
  • the second move is a move in which the person to be measured whose arm has already been put down raises the wrist to a higher position than the shoulder with the shoulder as a rotation center while keeping the arm straight.
  • the arm of the person to be measured 20 shifts from the first posture to a third posture.
  • the shoulder, the elbow and the wrist of the person to be measured 20 are arranged in the gravity direction.
  • an angle ⁇ 2 between a direction connecting the shoulder, the elbow 22 and the wrist of the person to be measured 20 to one another (a direction indicated by an arrow of an alternate long and short dash line in FIG. 4 ) and the gravity direction is larger than 90°.
  • the second move may be a move for changing the posture from the third posture to the first posture.
  • the upper arm 21 , the elbow 22 , the forearm 23 and the hand 24 are designated by a broken line when the arm of the person to be measured is in the state of the third posture.
  • Z-axis direction acceleration information detected by the acceleration sensor 11 in the state of the first posture is regarded as first acceleration information Gd, in the same manner as in FIG. 3 .
  • Z-axis direction acceleration information detected by the acceleration sensor 11 in the state of the third posture is regarded as third acceleration information Gu 2 .
  • the physical feature information calculator 13 a performs second-order integration in which triaxial acceleration information of a world coordinate system detected by the acceleration sensor 11 in a period in which the second move is performed (in a process of movement from the state of the first posture to the state of the third posture) is integrated twice with respect to a time corresponding to a length of the period.
  • the physical feature information calculator 13 a calculates second displacement information ⁇ H 2 [cm], which is a displacement amount of a height of the wrist of the person to be measured 20 in the period.
  • the physical feature information calculator 13 a calculates an upper limb length (a distance between the shoulder and the wrist; a second distance) of the person to be measured 20 based on the second displacement information ⁇ H 2 [cm], the first acceleration information Gd, and the third acceleration information Gu 2 .
  • the physical feature information calculator 13 a calculates the upper limb length of the person to be measured 20 by arithmetic processing of the following expression (2) based on the second displacement information ⁇ H 2 [cm], and a second ratio of an absolute value of the first acceleration information Gd to the sum of the absolute value of the first acceleration information Gd and an absolute value of the third acceleration information Gu 2 .
  • Upper Limb Length ⁇ H 2 ⁇
  • the upper limb length corresponds to a displacement amount of the wrist in the gravity direction until the angle ⁇ 2 becomes 90° (the positions of the shoulder and the wrist in the gravity direction agree with each other) after the arm is raised from the first posture.
  • a value, which is obtained by second-order integrating the triaxial acceleration information of the world coordinate system detected by the acceleration sensor 11 until the angle ⁇ 2 is changed to 90° from the first posture with respect to the time required until the angle ⁇ 2 is changed to 90° from the first posture, corresponds to the upper limb length.
  • the person to be measured is requested to perform the move to raise the arm from the first posture until the angle ⁇ 2 becomes 90° accurately.
  • the triaxial acceleration information outputted from the acceleration sensor 11 during the period of the move is second-order integrated with respect to the time, the upper limb length can be obtained.
  • the aforementioned second move in which the person to be measured may stop the arm at any time point when the angle ⁇ 2 is an arbitrary value larger than 90° imposes no burden on the person to be measured. Based on such a reason, the person to be measured is requested to perform the second move to change the posture from the first posture to the third posture in the embodiment.
  • the second displacement information ⁇ H 2 obtained when the second move is performed includes a third displacement component in a period in which the angle ⁇ 2 is changed from 0° to 90°, and a fourth displacement component in a period in which the angle ⁇ 2 is larger than 90°.
  • a ratio between the third displacement component and the fourth displacement component is equal to a ratio between the absolute value of the first acceleration information Gd and the absolute value of the third acceleration information Gu 2 . Accordingly, the upper limb length can be calculated in accordance with the aforementioned expression (2).
  • the physical feature information calculator 13 a calculates the upper arm length by subtracting the forearm length from the upper limb length calculated in the aforementioned manner.
  • FIG. 5 is a flow chart for explaining a calculating process of the forearm length and the upper arm length to be performed by the physical feature information calculator 13 a in FIG. 2 .
  • a mode for calculating the forearm length and the upper arm length is provided in the blood pressure measuring apparatus 1 .
  • the controller 13 uses, for example, the display 15 to issue an instruction to the person to be measured to assume the first posture and change the posture from this state to the second posture, and then to issue an instruction to the person to be measured to assume the first posture again and change the posture from this state to the third posture.
  • the pieces of information about the instructions displayed on the display 15 are pieces of information for guiding the arm of the person to be measured to the first posture and the second posture and to the first posture and the third posture respectively.
  • the controller 13 serves as an information output section.
  • a character imitating the person to be measured is displayed on the display 15 , and the character is moved to plainly demonstrate a move from the first posture to the second posture and a move from the first posture to the third posture.
  • the controller 13 may output a message “please put your arm straight down” from a not-shown speaker to request the person to be measured to assume the first posture.
  • the controller 13 may output a message “in this state, please raise your wrist higher than your elbow and stop it while keeping the position of your elbow fixed” from the speaker to request the person to be measured to assume the second posture.
  • the controller 13 may output a message “please put your arm straight down” from the speaker to request the person to be measured to assume the first posture.
  • the controller 13 may output a message “in this state, please raise your wrist higher than your shoulder and stop it while leaving your arm stretched out” from the speaker to request the person to be measured to assume the third posture.
  • the pieces of information outputted from the speaker are pieces of information for guiding the arm of the person to be measured to the first posture and the second posture and to the first posture and the third posture respectively.
  • configuration may be made in advance so that the blood pressure measuring apparatus 1 can communicate with an electronic device with a display owned by the person to be measured, such as a smartphone.
  • the controller 13 transmits, to the electronic device, the pieces of information for guiding the arm of the person to be measured to the first posture and the second posture and to the first posture and the third posture respectively.
  • the electronic device may display the pieces of information received from the blood pressure measuring apparatus 1 on the display, so that the posture guidance can be given to the person to be measured.
  • the controller 13 determines whether the person to be measured has assumed the first posture or not, based on Z-axis acceleration information.
  • the controller 13 determines a state in which the sign of the Z-axis acceleration information detected by the acceleration sensor 11 is negative and a variation of the Z-axis direction acceleration information is not larger than a threshold for a predetermined time, as the first posture.
  • the controller 13 determines a state in which the sign of the Z-axis acceleration information detected by the acceleration sensor 11 is positive and a variation of the Z-axis direction acceleration information is not larger than a threshold for a predetermined time, as the second posture or the third posture.
  • the controller 13 functions as a posture determiner.
  • the physical feature information calculator 13 a of the controller 13 acquires first acceleration information (Z-axis acceleration information) detected by the acceleration sensor 11 in the state of the first posture (step S 1 ).
  • the physical feature information calculator 13 a acquires second acceleration information (Z-axis acceleration information) detected by the acceleration sensor 11 in the state of the second posture (step S 2 ).
  • the physical feature information calculator 13 a acquires first moving acceleration information (triaxial acceleration information) detected by the acceleration sensor 11 in a process of movement from the first posture to the second posture (step S 3 ).
  • the physical feature information calculator 13 a second-order integrates the triaxial acceleration information acquired in the step S 3 with respect to a time required until the posture is changed from the first posture to the second posture, and calculates a displacement amount (first displacement information ⁇ H 1 ) of the wrist of the person to be measured in the process of movement from the first posture to the second posture (step S 4 ).
  • the physical feature information calculator 13 a calculates a forearm length of the person to be measured by arithmetic processing of the expression (1) based on the first displacement information ⁇ H 1 and a first ratio between the first acceleration information acquired in the step S 1 and the second acceleration information acquired in the step S 2 , and records the calculated forearm length into the recording medium 14 (step S 5 ).
  • the physical feature information calculator 13 a acquires third acceleration information (Z-axis acceleration information) detected by the acceleration sensor 11 in the state of the third posture (step S 6 ).
  • the physical feature information calculator 13 a acquires second moving acceleration information (triaxial acceleration information) detected by the acceleration sensor 11 in a process of movement from the first posture to the third posture (step S 7 ).
  • the physical feature information calculator 13 a second-order integrates the triaxial acceleration information acquired in the step S 7 with respect to a time required until the posture is changed from the first posture to the third posture, and calculates a displacement amount (second displacement information ⁇ H 2 ) of the wrist of the person to be measured in the process of movement from the first posture to the third posture (step S 8 ).
  • the physical feature information calculator 13 a calculates an upper limb length of the person to be measured by arithmetic processing of the expression (2) based on the second displacement information ⁇ H 2 and a second ratio between the first acceleration information acquired in the step S 1 and the third acceleration information acquired in the step S 6 (step S 9 ).
  • the physical feature information calculator 13 a subtracts the forearm length calculated in the step S 5 from the upper limb length calculated in the step S 9 to calculate an upper arm length of the person to be measured, and records the calculated upper arm length into the recording medium 14 (step S 10 ).
  • the forearm length and the upper arm length of the person to be measured are recorded in the recording medium 14 .
  • the forearm length and the upper arm length are used.
  • a difference in height between the wrist and the heart is calculated in real time by the wrist-heart height difference calculator 13 b , and a blood pressure value is corrected by the blood pressure calculator 13 c.
  • the person to be measured is requested to merely perform the move of moving the arm from the first posture to the second posture and the move of moving the arm from the first posture to the third posture. In this manner, the forearm length and the upper arm length of the person to be measured can be calculated accurately.
  • the person to be measured is requested to assume the postures not to make the angle ⁇ 1 in FIG. 3 and the angle ⁇ 2 in FIG. 4 equal to 90° but to merely make the angle ⁇ 1 in FIG. 3 and the angle ⁇ 2 in FIG. 4 larger than 90°.
  • the forearm length and the upper arm length can be calculated. Therefore, the person to be measured does not have to be requested to perform difficult moves so that a burden on the person to be measured can be lightened.
  • the arm is raised in a horizontal direction to the front surface of the body so that the arm is moved from the first posture to the third posture.
  • the arm may be raised in a vertical direction to the front surface of the body so that the arm is moved from the first posture to the third posture.
  • FIG. 6 is a view for explaining a first modification of the forearm length calculating process to be performed by the physical feature information calculator 13 a in FIG. 2 .
  • FIG. 6 is a top view of a person to be measured 20 .
  • a left upper arm 21 , a left elbow 22 , a left forearm 23 , and a left hand 24 of the person to be measured 20 are illustrated in FIG. 6 .
  • first posture a state in which a direction connecting a shoulder and the elbow of the person to be measured to each other and a direction connecting the elbow and a wrist of the person to be measured to each other are intersected substantially perpendicularly to each other
  • second posture a state in which the direction connecting the shoulder and the elbow of the person to be measured to each other and the direction connecting the elbow and the wrist of the person to be measured to each other substantially agree with each other
  • the physical feature information calculator 13 a performs second-order integration in which triaxial acceleration information of a world coordinate system detected by the acceleration sensor 11 in a period of movement from the state of the first posture to the state of the second posture is integrated twice with respect to a time corresponding to the period.
  • the physical feature information calculator 13 a calculates third displacement information ⁇ L 1 [cm], which is a movement amount (a movement amount in a front surface direction of a body of the person to be measured) of the wrist of the person to be measured 20 in the period.
  • the ⁇ L 1 is consistent with a forearm length of the person to be measured.
  • the physical feature information calculator 13 a can request the person to be measured to assume the first posture and the second posture between which the positions of the shoulder and the elbow are the same but the direction connecting the elbow and the wrist to each other is different (two postures between which the position of the wrist is different), and calculate the forearm length based on acceleration information detected by the acceleration sensor 11 in a process of movement from the first posture to the second posture (or a process of movement from the second posture to the first posture).
  • the physical feature information calculator 13 a can request the person to be measured to assume the first posture and a third posture between which the position of the shoulder is the same but a direction connecting the shoulder and the wrist to each other is different (two postures between which the position of the wrist is different), and calculate an upper arm length based on acceleration information detected by the acceleration sensor 11 in a process of movement from the first posture to the third posture (or a process of movement from the third posture to the first posture).
  • the blood pressure measuring apparatus 1 may also calculate a chest width of the person to be measured as the physical feature information.
  • FIGS. 7A to 7C are views for explaining a calculating process of the chest width of the person to be measured which is performed by the physical feature information calculator 13 a in FIG. 2 .
  • FIG. 7A shows a state in which the person to be measured who is lying on his/her back (in a supine position) on bedding (a bed or a mattress) places his/her wrist on the bedding.
  • the bedding is provided for people to lie down on.
  • FIG. 7B is a view of FIG. 7A seen from a side of the bedding.
  • FIG. 7C shows a state in which the person to be measured wearing the blood pressure measuring apparatus 1 on his/her left arm and lying sideways on the bedding with one side of his/her body in contact with the bedding places the left arm on the other side of the body opposite to a contact surface between the body and the bedding.
  • a posture of the arm of the person to be measured in the state shown in FIG. 7A and FIG. 7B is regarded as first posture
  • a posture of the arm of the person to be measured in the state shown in FIG. 7C is regarded as second posture.
  • the physical feature information calculator 13 a performs second-order integration in which triaxial acceleration information of a world coordinate system detected by the acceleration sensor 11 in a period of movement from the state of the first posture to the state of the second posture (or a period of movement from the second posture to the first posture) is integrated twice with respect to a time corresponding to the period.
  • the physical feature information calculator 13 a calculates fourth displacement information ⁇ L 2 [cm], which is a displacement amount (a displacement of a height in the gravity direction) of the wrist of the person to be measured 20 in the period.
  • the ⁇ L 2 can be handled as a value equal to the chest width of the person to be measured. Therefore, the physical feature information calculator 13 a outputs the ⁇ L 2 as the chest width information which is physical feature information.
  • the posture of the arm of the person to be measured who is lying on his/her face (in a prone position) on the bedding and whose wrist is placed on the bedding may be regarded as first posture.
  • the wrist-heart height difference calculator 13 b can estimate a difference in height between the heart and the blood pressure measuring apparatus 1 based on the chest width information. Accordingly, even when the person to be measured is lying, the blood pressure calculator 13 c can calculate a blood pressure value based on the difference in height between the wrist and the heart estimated from the chest width. In this manner, blood pressure can be measured accurately.
  • the person to be measured is requested to assume the first posture and the second posture between which the position of the wrist is different so that the chest width of the person to be measured can be calculated based on the acceleration information detected by the acceleration sensor 11 in the process of movement from the first posture to the second posture (or in the process of movement from the second posture to the first posture).
  • the aforementioned program executed by the processor of the controller 13 is provided to be recorded into any of computer-readable non-transitory recording media from which the program can be read by a computer.
  • Such “computer-readable recording media” include an optical medium such as a CD-ROM (Compact Disc-ROM), a magnetic recording medium such as a memory card, etc.
  • a program may be also provided by downloading through a network.
  • the blood pressure measuring apparatus 1 is designed to measure the blood pressure value based on the pulse wave detected by the pulse wave detector 10 .
  • the blood pressure measuring apparatus 1 may be designed to use a cuff to measure the blood pressure value by an oscillometric method, a Korotkoff method, or the like.
  • the disclosed blood pressure measuring apparatus is a blood pressure measuring apparatus which is adapted to be worn on a wrist of a person to be measured to measure a blood pressure value of the person to be measured, the blood pressure measuring apparatus including: a triaxial acceleration sensor; an information output section which is configured to output information for guiding an arm of the person to be measured on which the blood pressure measuring apparatus is worn, to a pair of a first posture and a second posture between which a position of the wrist is different; a posture determiner which is configured to determine that the arm has been in each of the pair of the postures, based on an output signal of the triaxial acceleration sensor after the output of the information; and a physical feature information calculator which is configured to calculate physical feature information of the person to be measured based on moving acceleration information detected by the triaxial acceleration sensor in a period between when the arm is in one of the pair of the postures and when the arm is in the other of the pair of the postures.
  • the disclosed blood pressure measuring apparatus wherein the first posture and the second posture are postures between which positions of a shoulder and an elbow of the person to be measured are the same but a direction connecting the elbow and the wrist to each other is different, and the physical feature information calculator is configured to calculate a distance between the elbow and the wrist of the person to be measured based on the moving acceleration information.
  • the disclosed blood pressure measuring apparatus wherein the first posture is a posture in which the shoulder, the elbow and the wrist of the person to be measured are arranged in a gravity direction, the second posture is a posture in which the shoulder and the elbow of the person to be measured are arranged in the gravity direction, and an angle between the direction connecting the elbow and the wrist of the person to be measured to each other and the gravity direction is larger than 90°, and the physical feature information calculator is configured to calculate the distance based on first acceleration information detected by the triaxial acceleration sensor when the arm is in the first posture, second acceleration information detected by the triaxial acceleration sensor when the arm is in the second posture, and the moving acceleration information.
  • the disclosed blood pressure measuring apparatus wherein the first posture and the second posture are postures between which a position of a shoulder of the person to be measured is the same but a direction connecting the shoulder and the wrist to each other is different, and the physical feature information calculator is configured to calculate a distance between the shoulder and the wrist of the person to be measured based on the moving acceleration information.
  • the disclosed blood pressure measuring apparatus wherein the first posture is a posture in which the shoulder, an elbow and the wrist of the person to be measured are arranged in a gravity direction, the second posture is a posture in which an angle between a direction connecting the shoulder, the elbow and the wrist of the person to be measured to one another and the gravity direction is larger than 90°, and the physical feature information calculator is configured to calculate the distance based on first acceleration information detected by the triaxial acceleration sensor when the arm is in the first posture, second acceleration information detected by the triaxial acceleration sensor when the arm is in the second posture, and the moving acceleration information.
  • the physical feature information calculator is configured to calculate displacement information of the wrist of the person to be measured in the gravity direction based on the moving acceleration information, and calculates the distance based on the displacement information and a ratio of an absolute value of the first acceleration information to a sum of the absolute value of the first acceleration information and an absolute value of the second acceleration information.
  • the physical feature information calculator is configured to multiply the displacement information by the ratio to calculate the distance.
  • the disclosed blood pressure measuring apparatus wherein the first posture is a posture in which the person to be measured who is lying on bedding places the wrist of the person to be measured on the bedding, the bedding being provided for the person to be measured to lie down on, the second posture is a posture in which the person to be measured who is lying sideways on the bedding with one side of a body of the person to be measured in contact with the bedding places the wrist on the other side of the body opposite to a contact surface between the person to be measured and the bedding, and the physical feature information calculator is configured to calculate displacement information of the wrist of the person to be measured in a gravity direction based on the moving acceleration information, and is configured to output the displacement information as chest width information of the person to be measured.
  • the first posture is a posture in which the person to be measured who is lying on bedding places the wrist of the person to be measured on the bedding, the bedding being provided for the person to be measured to lie down on
  • the second posture is a posture in which the person to be measured who is lying sideways on the bedding with one side of a body of
  • the disclosed blood pressure measuring apparatus further including: a blood pressure calculator which is configured to calculate a blood pressure value based on the physical feature information calculated by the physical feature information calculator.
  • the disclosed physical feature information calculating method is a physical feature information calculating method for calculating physical feature information of a person, the physical feature information calculating method including: an information outputting step of outputting information for guiding an arm of the person to a pair of a first posture and a second posture between which a position of a wrist of the person is different; a posture determining step of determining that the arm has been in each of the pair of the postures based on an output signal of a triaxial acceleration sensor after the output of the information, the triaxial acceleration sensor adapted to be worn on the wrist of the person; and a physical feature information calculating step of calculating the physical feature information of the person based on moving acceleration information detected by the triaxial acceleration sensor in a period between when the arm is in one of the pair of the postures and when the arm is in the other of the pair of the postures.
  • the disclosed physical feature information calculating program is a program which causes a computer to execute the respective steps of the aforementioned physical feature information calculating method.
  • the invention is particularly applied to a wrist type blood pressure measuring apparatus so as to be high in user-friendliness and effective.
  • a blood pressure measuring apparatus a physical feature information calculating method and a physical feature information calculating program, in which body part feature information of a person to be measured necessary for calculating a difference in height between a measured part and a heart can be obtained accurately by simple work.

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CN109691992A (zh) * 2019-03-04 2019-04-30 深圳星脉医疗仪器有限公司 一种血压检测信号的修正方法和血压检测装置
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JP2021029939A (ja) * 2019-08-29 2021-03-01 オムロンヘルスケア株式会社 血圧計、血圧算出方法、およびプログラム
CN113576437B (zh) * 2020-04-30 2023-03-10 华为技术有限公司 一种角度确定方法、装置和处理芯片
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JPWO2023021970A1 (zh) * 2021-08-19 2023-02-23
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